2017-05-09T17:01:36-05:00 2016-06-30 990 2015-07-01 391568866 Affinity Health System Inc AFFI 9207201300 1506 S ONEIDA STREET APPLETON WI 54915 Bill Hinner CFO Reg Health System,WI North 2017-05-09 2015 2021-01-29 14:40:06Z MONICA HILT 1506 S ONEIDA STREET APPLETON WI 54915 18024186 false X www.affinityhealth.org X 1986 IL To further the healing ministry of Jesus by improving the health and well-being of all people. 13 8 456 11 0 53403 130 35088121 17711636 788 311247 1634 1173 35143946 18024186 0 0 0 0 26830611 10501179 0 0 0 8310913 7411660 35141524 17912839 2422 111347 42675922 19295873 27787813 6660099 14888109 12635774 The mission of Affinity Health System, Inc. is to live out the healing ministry of Christ by providing services that promote the health and well-being of the communities we serve, especially the poor. false false 10680889 17711636 THE ENTITY BELIEVES IN MEETING THE HEALTHCARE NEEDS OF THE POOR, INDIGENT, AND UNDERSERVED. CARE IS PROVIDED TO THE PATIENTS WITHOUT REGARDS FOR ABILITY TO PAY. THE ENTITY PROVIDES ADMINISTRATIVE SUPPORT TO THREE HOSPITALS, AND 26 CLINIC LOCATIONS. THE ENTITY ALSO PROVIDES: FREE NEWSLETTERS FOCUSING ON WOMEN'S HEALTH ISSUES, CHILDREN'S HEALTH, AND SAFETY ISSUES HEALTH; INFORMATION SPOTS ON TELEVISION AND RADIO CLASSES ON A VARIETY OF HEALTH RELATED TOPICS INCLUDING PREGNANCY AND CHILD REARING. 10680889 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 16 0 true 456 true false false false false false false X 13 8 false false false false true true true true true false false true true true true true true false false false WI X Craig Aittama 7153465161 5700 Lands End Way 2nd Floor Stevens Point WI 54482 STEPHEN C MORTON BOARD CHAIRMAN (END 12/2015) 0.4 1.1 X X 0 0 0 DANIEL NEUFELDER BOARD VICE CHARIMAN - SR VP OF HOSPITAL OPERATIONS (BOARD END 12/2015) 0.4 63.5 X X 0 2171860 190168 KATHRYN SIEMAN VICE CHAIR 0.4 1.4 X X 0 0 0 WAYNE TREMBLY SECRETARY 0.4 1.4 X X 0 0 0 JOHN RUSSO CHAIRMAN (START 1/2016) 0.4 1.4 X X 0 0 0 BRIAN WALLACE TREASURER (START 1/2016) 0.4 1.4 X X 0 0 0 LANE EARNS BOARD MEMBER 0.4 1.4 X 0 0 0 MARK W FAUSTICH MD BOARD MEMBER 0.4 41.0 X 0 438031 21791 MARLIN GREENFIELD BOARD MEMBER 0.4 1.4 X 0 0 0 MARY HARP-JIRSCHELE BOARD MEMBER (END 12/2015) 0.4 1.1 X 0 0 0 MONICA ANN HILT PRESIDENT ST ELIZABETH HOSPITAL (BOARD END 12/2015) 0.2 43.3 X 0 709688 64149 MARK KEHRBERG MD CHIEF MEDICAL OFFICER 10.0 30.6 X 0 355616 30314 FREDERICK KLEIN MD BOARD MEMBER (END 12/2015) 0.4 1.1 X 0 0 0 JOSEPH MCCORMICK MD BOARD MEMBER (END 12/2015) 0.4 41.1 X 0 759647 43931 KEVIN RALOFSKY BOARD MEMBER 0.4 1.1 X 0 0 0 STACEY SENSOR DO BOARD MEMBER (END 12/2015) 0.4 40.7 X 0 356855 26385 SUDEEP SODHI MD BOARD MEMBER 0.4 41.0 X 0 882249 47537 BARBARA J STRAND MD BOARD MEMBER 0.4 40.7 X 0 332440 23405 MONICA VOMASTIC BOARD MEMBER 0.4 1.4 X 0 0 0 WENDY SCHROEDER MD BOARD MEMBER (START 1/2016) 0.4 41.4 X 0 258146 48066 NICHOLAS DESIEN MINISTRY HEALTH CARE CEO (END 12/31/15) 0.4 54.9 X 0 2799737 271786 JEFFREY FRANCIS MINISTRY HEALTH CARE CAFO (END 9/9/15) 0.4 54.4 X 0 652678 51385 GARY KUSNIERZ VP PERFORMANCE EXCELLENCE 40.0 0.3 X 0 284960 36118 CARRIE HANKES MISSION INTEGRATION & SPIRITUAL CARE SYSTEM DIRECTOR 40.0 0 X 124893 0 32468 MIKE PERRY DIRECTOR REGIONAL PERFORMANCE EXCELLENCE 40.0 0 X 113389 0 18357 TRAVIS D ANDERSEN HOSPITAL PRESIDENT - STE APPLETON (END 8/14) 0.0 46.0 X 0 1068528 61462 238282 11070435 967322 2 true true false 0 130 130 Services to Affiliates 561000 17546881 17546881 Lifespan Classes 561000 37770 37770 Misc. Operating Rev. 561000 126985 126985 0 0 0 0 17711636 311247 311247 0 0 0 0 Non Operating Revenue 900099 1173 1173 0 0 0 0 1173 18024186 17711636 0 312420 8051878 5356031 2695847 10939 7277 3662 1795612 1194424 601188 642750 427551 215199 3913 3913 0 0 228979 153985 74994 129560 121556 8004 7071 5090 1981 87090 65258 21832 6067228 2558518 3508710 Purchased Services 320318 307171 13147 Food 29049 8247 20802 Drugs 606 606 Dues 454 454 537392 470808 66584 0 17912839 10680889 7231950 0 100 100 13241968 1091958 10605639 1462555 0 0 0 904236 0 13799509 8239541 8251141 5559968 0 0 8341221 4910520 1331617 6270772 42675922 19295873 22607577 982565 5180236 5677534 27787813 6660099 X 14888109 12635774 14888109 12635774 42675922 19295873 X 111347 -2363682 X false true X true false X X 6 MERCY MEDICAL CENTER OF OSHKOSH INC 390806268 3 true 0 0 MERCY HEALTH FOUNDATION INC 237140261 9 true 0 0 ST ELIZABETH HOSPITAL INC 390816818 3 true 0 0 ST ELIZABETH HOSPITAL FOUNDATION INC 391256677 7 true 0 0 NETWORK HEALTH SYSTEM INC 391127163 3 true 0 0 CALUMET MEDICAL CENTER INC 390905385 3 true 0 0 6 0 0 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 11h(iv) MONETARY SUPPORT PROVIDED TO SUPPORTED ORGANIZATIONS AFFINITY HEALTH SYSTEM, INC. SUPPORTS THE PROVISION OF HEALTHCARE SERVICES AT THE CORPORATIONS TO WHICH IT IS A MEMBER THROUGH THE PROVISION OF CENTRALIZED ADMINISTRATIVE SUPPORT INCLUDING REVENUE CYCLE, ADMINISTRATIVE COSTS, COMPLIANCE/CORPORATE INTEGRITY, TELECOMMUNICATIONS, BUSINESS SERVICES, HUMAN RESOURCES AND MARKETING. COSTS OF CERTAIN OF THESE DEPARTMENTS ARE CHARGED TO THE MEMBERS THROUGH A MANAGEMENT FEE. TRANSACTIONS WITH EACH MEMBER ARE DELINEATED ON SCHEDULE R. Schedule A, Part IV, Section A, Line 11c Majority director detail The Ascension Sponsor (the Canonical sponsor which was formed by the founding religious sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) determines the philosophy, mission, vision, values and expectations of the System, and appoints the board for Ascension, who delegates that appointment power within the System, with the Ascension Sponsor retaining ultimate control over governance matters. 1635881 622798 1013083 12163628 7616743 4546885 5559968 457B Plan - Long Term Asset 1336832 Due from Intercompany Prepaid expenses Self Insurance Claims 4933940 6270772 Pension Liability 457B Plan Liability 1336832 AH Savings Plan 129644 Payable to Affiliates 3824166 Other Misc Liabilities 386892 5677534 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2016. X X true true true false false false false false false false false DANIEL NEUFELDER BOARD VICE CHARIMAN - SR VP OF HOSPITAL OPERATIONS (BOARD END 12/2015) 0 1009083 0 1146884 0 15893 0 162663 0 27505 0 2362028 0 0 MARK W FAUSTICH MD BOARD MEMBER 0 412928 0 21608 0 3495 0 17225 0 4566 0 459822 0 0 MONICA ANN HILT PRESIDENT ST ELIZABETH HOSPITAL (BOARD END 12/2015) 0 457522 0 238701 0 13465 0 33355 0 30794 0 773837 0 0 MARK KEHRBERG MD CHIEF MEDICAL OFFICER 0 219105 0 129827 0 6684 0 15923 0 14391 0 385930 0 0 JOSEPH MCCORMICK MD BOARD MEMBER (END 12/2015) 0 757761 0 0 0 1886 0 13250 0 30681 0 803578 0 0 STACEY SENSOR DO BOARD MEMBER (END 12/2015) 0 340467 0 13604 0 2784 0 6451 0 19934 0 383240 0 0 SUDEEP SODHI MD BOARD MEMBER 0 878922 0 0 0 3327 0 17225 0 30312 0 929786 0 0 BARBARA J STRAND MD BOARD MEMBER 0 291291 0 36054 0 5095 0 9275 0 14130 0 355845 0 0 WENDY SCHROEDER MD BOARD MEMBER (START 1/2016) 0 257093 0 50 0 1003 0 13623 0 34443 0 306212 0 0 TRAVIS D ANDERSEN HOSPITAL PRESIDENT - STE APPLETON (END 8/14) 0 563273 0 433518 0 71737 0 25800 0 35662 0 1129991 0 0 NICHOLAS DESIEN MINISTRY HEALTH CARE CEO (END 12/31/15) 0 1298254 0 1454145 0 47338 0 242978 0 28808 0 3071523 0 0 JEFFREY FRANCIS MINISTRY HEALTH CARE CAFO (END 9/9/15) 0 382625 0 40711 0 229342 0 27845 0 23540 0 704063 0 0 GARY KUSNIERZ VP PERFORMANCE EXCELLENCE 0 199083 0 68900 0 16977 0 9275 0 26843 0 321078 0 0 CARRIE HANKES MISSION INTEGRATION & SPIRITUAL CARE SYSTEM DIRECTOR 123068 0 0 0 1825 0 9224 0 23244 0 157361 0 0 0 Schedule J, Part I, Line 3 EXPLANATION MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF AFFINITY HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 1a Travel for companions Business travel expenses for spouses of executives and golf club memberships for executives are reimbursed as part of their executive flex credit account. Receipts are provided to the Sr. Administrative Assistant in HR who reviews for accuracy and completes a reimbursement form with substantiation to payroll for reimbursement. These reimbursements are taxable, and when added to the compensation package taken as a whole have been included when compared to the compensation studies. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization: Jeffrey Francis - $225,000 Form 990, Part VI, Line 15 EXPLANATION IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF AFFINITY HEALTH SYSTEM, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY MINISTRY HEALTH CARE, INC., A RELATED ORGANIZATION OF AFFINITY HEALTH SYSTEM, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. Form 990, Part VI, Line 6 Classes of members or stockholders Affinity Health System, Inc. has a single corporate member, Ministry Health Care, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Affinity Health System, Inc. has a single corporate member, Ministry Health Care, Inc., who has the ability to elect members to the governing body of Affinity Health System, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Affinity Health System, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Ministry Health Care, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, work diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Ministry web page is available to the public for inspection with a good deal of information regarding who Ministry Health Care is and the entities included along with our mission. The Articles of Incorporation, Bylaws, Conflict of Interest Policy and financial statements are not included on any web page. However, if any inquiry is made for any documents they are shared as appropriate. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer with Affliates - -2363682; ASCENSION HEALTH ALLIANCE PO BOX 45998 STLOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I N/A false ASCENSION HEALTH PO BOX 45998 STLOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE false MINISTRY HEALTH CARE INC 10925 W LAKE PARK DR STE 100 MILWAUKEE WI 53224 391490371 PARENT CORPORATION WI 501(c)(3 Type II ASCENSION HEALTH false AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE WI 53209 391461846 COMMUNITY CENTER WI 501(c)(3 7 MINISTRY HEALTH CARE INC true CALUMET MEDICAL CENTER INC 614 MEMORIAL DRIVE CHILTON WI 53014 390905385 HOSPITAL WI 501(c)(3 3 AFFINITY HEALTH SYSTEM true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 MENTAL HEALTH FACILITY WI 501(c)(3 3 STELIZABETH HOSPITAL INC true SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 CHARITABLE FOUNDATION WI 501(c)(3 Type I SAINT MICHAEL'S HOSPITAL OF STEVENS POINT true DOOR COUNTY MEMORIAL HOSPITAL 323 SOUTH 18TH AVENUE STURGEON BAY WI 54235 390806324 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CAREINC true DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF WI 54568 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3 9 HOWARD YOUNG HEALTH CARE INC true EAGLE RIVER MEMORIAL HOSPITAL INCORPORATED 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501(c)(3 3 THE HOWARD YOUNG MEDICAL CENTER INC true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON WI 54476 753193633 CHARITABLE FOUNDATION WI 501(c)(3 Type I MINISTRY HEALTH CARE INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391684957 CHARITABLE FOUNDATION WI 501(c)(3 Type I SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC true GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 391627755 CHARITABLE FOUNDATION WI 501(c)(3 Type I GOOD SAMARITAN HEALTH CENTER OF MERRILL true HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF WI 54568 391521169 CHARITABLE FOUNDATION WI 501(c)(3 7 HOWARD YOUNG HEALTH CARE INC true HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HOME OFFICE WI 501(c)(3 Type II MINISTRY HEALTH CARE INC true THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF WI 54568 390873606 HOSPITAL WI 501(c)(3 3 HOWARD YOUNG HEALTH CARE INC true MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH WI 54903 237140261 CHARITABLE FOUNDATION WI 501(c)(3 9 AFFINITY HEALTH SYSTEM true MERCY MEDICAL CENTER OF OSHKOSH INC 500 S OAKWOOD ROAD OSHKOSH WI 54904 390806268 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true MINISTRY MEDICAL GROUP INC 824 ILLINOIS AVENUE STEVENS POINT WI 54481 391965593 CLINICS WI 501(c)(3 Type III-FI MINISTRY HEALTH CARE INC true MINISTRY WEIGHT MANAGEMENT INC 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391829015 HEALTH SERVICES WI 501(c)(3 3 SACRED HEART - STMARY'S HOSPITALS INC true OUR LADY OF VICTORY HOSPITAL 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SACRED HEART-STMARY'S HOSPITALS INC PO BOX 347 STEVENS POINT WI 54481 391390638 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON WI 54476 721531917 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA MN 55981 410693877 HOSPITAL MN 501(c)(3 3 MINISTRY HEALTH CARE INC true ST ELIZABETH'S HOSPITAL FOUNDATION INC 1506 S ONEIDA STREET APPLETON WI 54915 391256677 CHARITABLE FOUNDATION WI 501(c)(3 7 AFFINITY HEALTH SYSTEM true ST ELIZABETH HOSPITAL INC 1506 S ONEIDA STREET APPLETON WI 54915 390816818 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391847631 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501(c)(3 3 MINISTRY HEALTH CARE INC true NETWORK HEALTH SYSTEM INC 1570 APPLETON RD MENASHA WI 54952 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3 3 AFFINITY HEALTH SYSTEM true TWIN MED LLP PO BOX 8005 MENASHA WI 54952 391180341 RENTAL PROPERTY WI NA N/A false false true false false false false false false false false true true false true true true false false NETWORK HEALTH SYSTEM INC Q 6652745 FMV ST ELIZABETH HOSPITAL INC O 75850 FMV